Not Applicable.

Uses and Use Restrictions

This Funding Opportunity Announcement (FOA) uses funds remaining from the State HIE Program to increase the adoption and use of interoperable health IT tools and services to support the interoperable exchange of health information and enable send, receive, find, and use capabilities in a manner that is appropriate, secure, timely, and reliable for both senders and receivers.

This FOA was a full and open competition with twelve (12) awards being made in the form of cooperative agreements to states and/or state designated entities (SDE) to continue under the same intent as the original State HIE Program of enabling nationwide health information exchange across the care continuum and improving care coordination and transitions of care.

This FOA will allow grantees to leverage the existing operational HIE infrastructure to expand the use of interoperable exchange tools and services to improve transitions of care and care coordination, thus furthering federal, state, and/or community health reform efforts.

None of the funds appropriated or otherwise made available in ARRA may be used by a state or local government, or any private entity, for any casino or other gambling establishment, aquarium, zoo, golf course, or swimming pool.

(ARRA Sec.

1604).

Eligibility Requirements

Applicant Eligibility

Either a State, Territory, or State Designated Entity was eligible to apply.

Beneficiary Eligibility

None.

Credentials/Documentation

State governments and Qualified State-Designated Entities were eligible to apply. The program required a letter from the Governor establishing the Qualified State Designated Entity, where applicable. Documentation was to be provided in accordance with the requirements of 2 CFR 200. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applications were solicited by a program announcement. The availability of this announcement was broadly published, including by posting on www.grants.gov.

Award Procedures

Following objective review of applications, those applicants whose applications have been selected by the Secretary of HHS (or designee) for funding are to receive a Notice of Award signed by an HHS Grants Management Officer. The Notice of Award, which is sent to the applicant?s Authorized Organizational Representative, is the only official notification of award. Unsuccessful applicants will be advised by letter.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

American Recovery and Reinvestment Act (ARRA) of 2009, Division A, Title XIII, HITECH Act, Section 3013.

Range of Approval/Disapproval Time

From 60 to 90 days.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. Matching Requirements: The applicant?s match requirement is $1 for every $3 federal dollars. In other words, for every three dollars received in federal funding, the applicant must contribute at least one dollar in non-federal resources toward the program?s total cost. For example, if $100,000 in federal funds is requested for the period of performance, then the minimum match requirement is $100,000/3 or $33,333. In this example the program?s total cost would be $133,333. If the required non-federal share is not met by the grantee, ONC will disallow any unmatched federal dollars. Demonstration of this match will be shown in annual federal financial reports. In preparing the application budget, applicants should consider these cost-sharing requirements and account for a match on their best estimate of expenditures. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Awards are expected to be for a two (2) year period of performance. See the following for information on how assistance is awarded/released: Subject to meeting performance requirements.

Post Assistance Requirements

Reports

ONC Program Progress Reports (PPR) are due quarterly and must include the reporting elements referenced in 2 CFR 200.328 as applicable.

ONC will provide guidance on format and further instructions on reporting before the reports are due.

The grantee must include in the PPR how the specific activities tie back to the intrastate and interstate funding streams.

Recipients are required to cooperate with the ONC-directed evaluation activities, including, but not limited to reporting standardized performance measures and milestones on a regular basis to ensure that the project is meeting program objectives (milestones vs.

projections); and, participating in ONC-led formal assessments, such as site visits and/or teleconferences with the assigned Project Officer.

Federal Financial Report is due 30 days after the end of each quarter (January 30, April 30, July 30, and October 30).

ONC Program Progress Reports (PPR) are due quarterly and must include the reporting elements referenced in 45 CFR 75.342 as applicable.

ONC will provide guidance on format and further instructions on reporting before the reports are due.

The awardee must include in the PPR how the specific activities tie back to the intrastate and interstate funding streams.

Recipients are required to cooperate with the ONC-directed evaluation activities, including, but not limited to reporting standardized performance measures and milestones on a regular basis to ensure that the project is meeting program objectives (milestones vs.

projections); and, participating in ONC-led formal assessments, such as site visits and/or teleconferences.

Additional information on the specific performance evaluation criteria and milestones will be provided at a later date.

Federal Financial Report (FFR 425) is due within 90 days after the end of the applicable 12-month period (January 30).

Reports will be developed by ONC staff prior to award of funds.

Federal Financial Cash Transaction Report.

Reports will be developed by ONC Project Officer prior to award of the funds.

Federal Financial Cash Transaction Report.

Reports will be developed by ONC Project Officer prior to award of the funds.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Recipients are required to maintain grant records for a minimum of 3 years from the submission date of the final financial report. If any litigation, claim, negotiation, audit or other action involving the record has been started before the expiration of the 3-year period, the records shall be retained until the completion of the action and resolution of all issues which arise from it or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0130-0-1-551.

Obigations

(Cooperative Agreements (Discretionary Grants)) FY 16 Not Separately Identifiable; FY 17 est $0; and FY 18 Not Separately Identifiable

Range and Average of Financial Assistance

Average of each award is estimated at $2.47M.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 2 CFR 200 and 45 CFR Part 75.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Larry Jessup, MHA 330 C Street, SW Suite 7033A, Washington, District of Columbia 20201 Email: larry.jessup@hhs.gov Phone: 202-720-2861

Criteria for Selecting Proposals

Specific, detailed criteria for determining merit of applications was made available in the funding opportunity guidance document(s) for this program. In general, all applicants were required to demonstrate capability to achieve the goals, purposes, and objectives of the program consistent with applicable statutory provisions.